Organization
KIDS BEING KIDS THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL MIGUET (VP/OWNER)
(501) 951-0655
Entity
Organization
Contact information
Practice address
6 HOLLY BROOK CV, MAUMELLE, AR 72113-6881
(501) 951-0655
Mailing address
PO BOX 13932, MAUMELLE, AR 72113-0932
(501) 951-0655
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
196951742
—
AR
Enumeration date
06/05/2013
Last updated
04/17/2014
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